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A giant left ventricular pseudoaneurysm diagnosed after double-valve replacement

Bhushan Sonawane1, Kothandam Sivakumar1

  • 1Department of Cardiology, Madras Medical Mission, Chennai, India.

Asian Cardiovascular & Thoracic Annals
|December 21, 2020
PubMed

Insights

A diagnostic catheter injury caused a pseudoaneurysm, leading to left coronary compression in a rheumatic heart disease patient. This case highlights the challenges of managing giant pseudoaneurysms, especially after intracerebral hemorrhage.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Cardiac Surgery

Background:

  • Rheumatic heart disease can lead to complex cardiac complications.
  • Diagnostic coronary catheterization carries risks, including vessel injury.
  • Pseudoaneurysms are rare but serious complications of cardiac procedures.

Observation:

  • A diagnostic coronary catheter injury resulted in a subaortic pseudoaneurysm.
  • The pseudoaneurysm caused extrinsic left coronary artery compression.
  • Thrombolysis for mitral prosthesis thrombosis led to pseudoaneurysm enlargement and intracerebral hemorrhage.

Findings:

  • Giant pseudoaneurysm formation after cardiac catheterization.
  • Left coronary compression due to pseudoaneurysm.
  • Management challenges in a patient with mechanical valves and intracerebral hemorrhage.

Implications:

  • Highlights the importance of recognizing and managing coronary artery pseudoaneurysms.
  • Discusses percutaneous transapical access for interventional closure in high-risk patients.
  • Emphasizes the potential complications of thrombolysis in patients with prosthetic valves and intracerebral hemorrhage.

Keywords:
Aneurysmcardiac catheterizationfalseheart aneurysmvascular closure devices

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